go back

Nebraska rates for HCPCS L5785

Addition Exoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.68 / $397.68 / $397.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.68 / $397.68 / $468.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.08 / $602.88 / $608.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $685.96 / $685.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.66 / $685.96 / $1,057.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.91 / $682.58 / $3,225.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.42 / $398.34 / $518.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.95 / $685.96 / $947.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.07 / $822.12 / $1,413.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.42 / $311.10 / $479.40